Organization
ELEMENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA L. VASQUEZ SA-C (OWNER)
(281) 653-2924
Entity
Organization
Contact information
Practice address
12436 FM 1960 RD W, SUITE 171, HOUSTON, TX 77065-4809
(281) 653-2924
(832) 478-9266
Mailing address
12436 FM 1960 RD W, SUITE 171, HOUSTON, TX 77065-4809
(281) 653-2924
(832) 478-9266
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
06/21/2016
Last updated
06/21/2016
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